| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,778 |
7,949 |
$470K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,268 |
1,888 |
$171K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,414 |
1,261 |
$106K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,365 |
1,188 |
$104K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,410 |
1,097 |
$96K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,859 |
1,614 |
$76K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
894 |
778 |
$74K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,138 |
1,019 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,721 |
1,398 |
$27K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
390 |
354 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,423 |
1,210 |
$18K |
| 96127 |
|
1,161 |
907 |
$17K |
| 83655 |
|
1,405 |
1,113 |
$16K |
| 90686 |
|
1,226 |
1,032 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
841 |
742 |
$13K |
| 90670 |
|
824 |
644 |
$12K |
| 87807 |
|
1,106 |
959 |
$11K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
144 |
134 |
$10K |
| 90651 |
|
290 |
228 |
$8K |
| 90734 |
|
287 |
230 |
$4K |
| 90672 |
|
422 |
372 |
$4K |
| 85018 |
|
1,758 |
1,407 |
$4K |
| 90633 |
|
374 |
300 |
$4K |
| 36416 |
|
902 |
671 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
113 |
101 |
$3K |
| 90677 |
|
87 |
83 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
61 |
55 |
$3K |
| 90648 |
|
281 |
217 |
$2K |
| 90680 |
|
135 |
101 |
$2K |
| 90661 |
|
84 |
81 |
$1K |
| 90688 |
|
160 |
141 |
$1K |
| 0002A |
|
31 |
19 |
$1K |
| 0071A |
|
65 |
64 |
$1K |
| 0072A |
|
47 |
42 |
$1K |
| 96160 |
|
93 |
70 |
$978.20 |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$666.90 |
| 90660 |
|
61 |
52 |
$649.14 |
| 0001A |
|
19 |
15 |
$600.00 |
| 90698 |
|
36 |
16 |
$539.20 |
| 99382 |
|
19 |
15 |
$394.60 |
| 90710 |
|
36 |
33 |
$385.05 |
| 90696 |
|
35 |
32 |
$368.34 |
| 90685 |
|
30 |
25 |
$344.23 |
| 90715 |
|
42 |
31 |
$300.85 |
| 90707 |
|
18 |
14 |
$108.80 |
| 90716 |
|
16 |
12 |
$96.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
84 |
64 |
$62.50 |
| 90461 |
|
41 |
29 |
$0.00 |
| 99051 |
|
56 |
53 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
32 |
17 |
$0.00 |
| 1036F |
|
36 |
27 |
$0.00 |